儿童运动员获得最佳脑震荡护理是否受到地理限制?
Ryan Powers1, Robert Trevino2, Holly Erpenbach3
1Department of Internal Medicine, Medical College of Wisconsin, Milwaukee, WI.
概括
在美国,获得最佳的儿科脑震荡护理的机会差异很大. 农村地区对多学科脑震荡诊所的访问有限,这影响了全国儿童的护理.
科学领域:
- 儿科神经学 儿科神经学
- 公共卫生 公共卫生
- 获得医疗保健的机会.
背景情况:
- 脑震荡护理需要专门的多学科团队.
- 在获得医疗保健方面,地理差异越来越令人担忧.
- 了解进入障碍对于改善儿科脑震荡管理至关重要.
研究的目的:
- 评估美国儿童脑震荡患者获得最佳脑震荡护理的地理差异.
- 为了测试不同地区存在差异性访问的假设.
主要方法:
- 利用一种新的互联网搜索策略来识别当地的脑震荡护理提供者,模拟患者/家庭的方法.
- 搜索了美国各地的各种大都市和农村地理区域.
- 根据临床的近距离和治疗儿科患者的能力来评估准入,并通过自我推过程和多学科团队的可用性来评估最佳护理.
主要成果:
- 互联网搜索产生了490个结果,其中约60%位于50英里以内.
- 在农村地区 (50英里以内22%) 和大都市地区 (P < 0.0001) 之间发现了显著的接入差异.
- 只有三分之一的确定的诊所看到了儿科患者,没有区域差异;然而,对于最佳护理组件存在显著的地理差异.
结论:
- 在全国范围内存在儿童患者获得多学科脑震荡护理的缺陷.
- 农村社区的儿童在获得脑震荡护理方面面临更大的挑战,原因是设施距离越来越远.
- 护理质量和可访问性的区域差异需要有针对性的干预措施.
更多相关视频
10:31A Multi-Modal Approach to Assessing Recovery in Youth Athletes Following Concussion
Published on: September 25, 2014
13.4K
07:02An Investigation of the Effects of Sports-related Concussion in Youth Using Functional Magnetic Resonance Imaging and the Head Impact Telemetry System
Published on: January 12, 2011
15.8K
相关概念视频
Specialized Care Centers and Settings-II
721
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
721
Secondary Healthcare System
1.4K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.4K
Specialized Care Centers and Settings-I
940
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
940
Primary Healthcare Services
1.4K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.4K
